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Case Reports
. 2015 Jul-Sep;6(3):417-9.
doi: 10.4103/0976-3147.158796.

Kissing naevus arising from neural crest cells presenting as upper and the lower lid mass

Gian Chand Rajput  1 , Deepti Mahajan  1 , Kulbhushan Prakash Chaudhary  1 , V Deewana  2
Affiliations
Case Reports

Kissing naevus arising from neural crest cells presenting as upper and the lower lid mass

Gian Chand Rajput et al. J Neurosci Rural Pract. 2015 Jul-Sep.

Abstract

A kissing nevus is a type of congenital compound nevus that affects equal portions of the upper and lower eyelid, and it extends to the lid margins. Congenital divided nevi of the eyelids are a rare melanocytic lesion. Only 30 patients are reported in the literature. We report a 40-year-old female of rural background who presented with a large painless enlarging pigmented mass, involving both upper and lower left eyelid since the past 20 years. Complete excision of the lesion was done, and the mass sent for histopathology, which revealed a compound nevus involving both lids. Surgery removed the obstruction, which had caused decreased visual acuity and had altered the cosmetic appearance of the patient. Lesions on the upper lid cause a mechanical ptosis, covers the visual axis, which causes obstruction in vision and is cosmetically unacceptable. There is a definite risk of malignant change in the nevus giving rise to malignant melanoma, and hence they should be removed as early as possible to give better functional and cosmetic results.

Keywords: Eyelid; melanoma; nevi.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Kissing nevus involving upper and lower lids
Figure 2
Figure 2
Histopathology of the lesion revealing a compound naevus
Figure 3
Figure 3
Photograph of the patient on 1st postoperative day
Figure 4
Figure 4
Postoperative photograph after 2 months
See this image and copyright information in PMC

References

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